Doctor Name: | MR. MANUEL R FLORES |
NPI Number: | 1023287653 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 687932 |
Business Practice Address: | 1515 Pappas St Laredo, TX - 780411705 |
Business Phone Number: | 9565233642 |
Business Fax Number: | 9567186294 |
Mailing Address: | 1515 Pappas St, LAREDO |
State: | TX |
Postal Code: | 780411705 |
Phone Number: | 9565233642 |
Fax Number: | 9567186294 |
NPI Enumeration Date: | 02/28/2008 |
NPI Last Update Date: | 02/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 687932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |